2026/27 Update – College of New Jersey University
1. Which statements made by a parent to the RN raises concerns about a child’s risk for
maltreatment? Select all that apply
a. “I restricted the use of all electronic toys because of my child’s behavior.”
b. “I really did not plan or want to have children until I finished school.”
c. “Some days this baby is nothing but trouble.”
d. “I wish my child would not cry when my new significant other is present.”
e. “A glass or two of wine during the day helps me cope with the stress of parenting.”
Answer: B, C, D, E
2. The RN is making a home visit to conduct a health history for a patient who will require
assistance in the home following an extensive surgical procedure. As the RN prepares to
depart the residence, the child below is whimpering. The patient says “He does not talk. He’s
whining because he is clumsy and fell down again.” What action is the RN responsible to
perform in relationship to this child?
NUR 230 Exam
,a. Contact Child Protective Services
b. Make arrangements for a follow-up visit.
c. Assess the family members’ response to stress.
d. Conduct a focused assessment on the child.
3. A RN is completing a health history on an older adult. Which remark is appropriate when
beginning to inquire about sexual health?
a. “Let me pull the curtain around the bed before we discuss this topic.”
b. “How is your relationship with your partner?”
c. “I have to ask the next few questions on sex.”
d. “Since your spouse recently died, do you want to skip the questions on sex?”
4. When the RN asks about smoking during a health history, the young adolescent states,
“I have a few cigarettes occasionally with my friends.” What is an appropriate initial
response by the RN?
a. “When you smoke, do you also drink alcohol?”
b. “Do your parents know and approve of you smoking?”
c. “Did you know once you start smoking, it is difficult to quit?”
NUR 230 Exam
,d. “Can you tell me more about your cigarette use?”
5. Which statement by an older adult during the health history indicates the person is at a
high risk for falls and needs further evaluation?
a. “My spouse’s things clutter my house.”
b. “I recently had cataract surgery.”
c. “It helps me when I focus on one thing at a time.”
6. The RN is reviewing the health history of a woman who is considering pregnancy. Which
patient statement indicates to the RN the need for genetic referral?
a. “My husband needs to quit smoking cigarettes.”
b. “I am 32-years-old and will be a first time older mother.”
c. “I had pre-eclampsia during my last pregnancy.”
d. “My husband had a cleft lip repair as a child.”
7. What information from the health history is relevant prior to the room assignment for a
patient admitted for watery diarrhea?
a. Current illicit intravenous drug use.
b. Recent tattoos to bilateral arms.
NUR 230 Exam
, c. Treatment for lung cancer 5 years previously.
d. Recent antibiotic treatment for cellulitis.
8. During a health assessment, the RN asks “Do you have an advance health care directive?”
The patient asks “Why do I need that? Is my condition that serious?” What is the appropriate
response by the RN?
a. “A power of attorney can make your health care decisions if you are unable.”
b. “The written form will direct the health care team not to perform resuscitation
activities.”
c. “Documenting your desired treatment goals will help guide your health care.”
d. “Once completed and witnessed, the form is legally binding in all states.”
9. The patient states “I had some dizzy spells at home.” What is the RN’s initial
response?
a. “Did you feel faint?”
b. “Was the room spinning?”
c. “Were you anxious?”
d. “What do you mean by dizzy?”
NUR 230 Exam